Vol. 21 - Num. 82
Evidence based Pediatrics
Javier Miranda Malleaa, Paz González Rodríguezb
aServicio de Pediatría. Hospitales Vithas Nisa 9 de Octubre y Virgen del Consuelo. Valencia. Hospital Rey Don Jaime. Castellón. España .
bPediatra. CS Barrio del Pilar. Madrid. España.
Correspondence: J Miranda . E-mail: doctormiranda@gmail.com
Reference of this article: Miranda Mallea J, González Rodríguez P. Antibiotic prophylaxis is unnecessary to prevent renal scarring after urinary tract infection in healthy children. Rev Pediatr Aten Primaria. 2019;21:203-6.
Published in Internet: 18-06-2019 - Visits: 9215
Abstract
Authors’ conclusions: antibiotic prophylaxis is not indicated for the prevention of renal scarring after a first or second symptomatic or febrile urinary tract infection in otherwise healthy children.
Reviewers’ commentary: incidence of renal scarring after febrile urinary tract infection in healthy children is low, around 6%. There are not differences between prophylaxis and control groups, so prophylactic antibiotic therapy is not justified.
Keywords
● Antibiotic prophylaxis ● Child ● Pyelonephritis ● Urinary tract infections
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